When pain becomes uncontrollable: an experimental analysis of the impact of instructions on pain-control attempts.


Journal

Pain
ISSN: 1872-6623
Titre abrégé: Pain
Pays: United States
ID NLM: 7508686

Informations de publication

Date de publication:
01 03 2021
Historique:
received: 11 03 2020
accepted: 17 09 2020
pubmed: 2 10 2020
medline: 20 5 2021
entrez: 1 10 2020
Statut: ppublish

Résumé

Under some conditions, people persist in their attempts to control their pain even when no such control is possible. Theory suggests that such pain-control attempts arise from actual pain experiences. Across 3 experiments we examined how (1) losing control over pain and (2) instructions concerning pain, moderated pain-control attempts. In each experiment, participants completed a learning task. Before the task, one group of participants received instructions outlining a strategy through which they could control pain, whereas another group had to develop such a strategy through trial-and-error learning. During the first half of the task, the pain-control instructions allowed participants to successfully control pain, whereas during the second half of the task, this was no longer the case. Instead, participants lost control over pain because of an unannounced change in the learning task. Results indicated that when participants lost control over pain, they generally stuck to the previously effective pain-control strategy, and that this tendency was larger if they received instructions from others than when they developed a strategy by themselves. These findings suggest that when pain is no longer controllable, very persistent pain-control attempts might be the result of adherence to previously effective pain-control instructions.

Identifiants

pubmed: 33003108
pii: 00006396-202103000-00012
doi: 10.1097/j.pain.0000000000002088
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

760-769

Informations de copyright

Copyright © 2020 International Association for the Study of Pain.

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Auteurs

Ama Kissi (A)

Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.

Sean Hughes (S)

Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.

Dimitri Van Ryckeghem (D)

Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.
Department of Behavioural and Cognitive Sciences, Institute for Health and Behaviour, INSIDE, University of Luxembourg, Esch-sur-Alzette, Luxembourg.
Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands.

Jan De Houwer (J)

Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.

Geert Crombez (G)

Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.

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